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Soynov I.A.

Meshalkin Novosibirsk National Medical Research Center of Healthcare Ministry of Russia, Novosibirsk, Russia, Federal Center for Cardiovascular Surgery of Healthcare Ministry of Russia, Perm, Russia, Topchibashov Research Center for Surgery of Healthcare Ministry of Azerbaijan, Baku, Azerbaijan

Kulyabin Yu.Yu.

Meshalkin National Medical Research Center, Ministry of Health of the Russia, Novosibirsk, Russia

Omel'chenko A.Iu.

FGBU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava Rossii

Leykekhman A.V.

Academician Meshalkin National Medical Research Center of the Ministry of Health of Russia, Novosibirsk, Russia

Voitov A.V.

Meshalkin National Medical Research Center, Ministry of Health of the Russia, Novosibirsk, Russia

Gorbatykh Iu.N.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Arkhipov A.N.

Academician E.N. Meshalkin National medical research center, Novosibirsk, Russia

Bogachev-Prokof'ev A.V.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Home monitoring of patients with hypoplastic left heart syndrome within the interstage period

Authors:

Soynov I.A., Kulyabin Yu.Yu., Omel'chenko A.Iu., Leykekhman A.V., Voitov A.V., Gorbatykh Iu.N., Arkhipov A.N., Bogachev-Prokof'ev A.V.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(2): 134‑141

DOI: 10.17116/kardio202013021134

Views: 1187

Downloaded: 28

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To cite this article:

Soynov IA, Kulyabin YuYu, Omel'chenko AIu, et al. . Home monitoring of patients with hypoplastic left heart syndrome within the interstage period. Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(2):134‑141. (In Russ.)
https://doi.org/10.17116/kardio202013021134

 
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The issues of interstage management of patients with hypoplastic left heart syndrome are analyzed in the review. The authors consider risk factors of mortality after the Norwood procedure or hybrid surgery including poor coronary perfusion, residual heart lesions, stenosis or thrombosis of shunt, low cardiac output, arrhythmias, viral or bacterial infection. Home monitoring is valuable for early diagnosis of life-threating conditions which are called as «red flag symptoms». These are blood saturation lower than 70% or over 90%, weight loss over 30 g, inability to gain weight of at least 20 g within 3 days, enteral feeding of less than 100 ml/kg per day, breathlessness, face or lips cyanosis, irritability, frequent diarrhea or vomiting, excessive sweating, need for hospitalization. Management and prevention of red flag symptoms are reviewed in the article.

Keywords:

hypoplastic left heart syndrome
Norwood procedure
interstage period
home monitoring
red flag symptoms

Authors:

Soynov I.A.

Meshalkin Novosibirsk National Medical Research Center of Healthcare Ministry of Russia, Novosibirsk, Russia, Federal Center for Cardiovascular Surgery of Healthcare Ministry of Russia, Perm, Russia, Topchibashov Research Center for Surgery of Healthcare Ministry of Azerbaijan, Baku, Azerbaijan

Kulyabin Yu.Yu.

Meshalkin National Medical Research Center, Ministry of Health of the Russia, Novosibirsk, Russia

Omel'chenko A.Iu.

FGBU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava Rossii

Leykekhman A.V.

Academician Meshalkin National Medical Research Center of the Ministry of Health of Russia, Novosibirsk, Russia

Voitov A.V.

Meshalkin National Medical Research Center, Ministry of Health of the Russia, Novosibirsk, Russia

Gorbatykh Iu.N.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Arkhipov A.N.

Academician E.N. Meshalkin National medical research center, Novosibirsk, Russia

Bogachev-Prokof'ev A.V.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

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